NPIMap

Organization Active NPI

Mid-Tennessee Bone & Joint

  • Orthopaedic Surgery Physician
  • Columbia, TN
National Provider Identifier
1922057181
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MID-TENNESSEE BONE & JOINT
Practice address
1050 N James Campbell Blvd
Suite 200
Columbia, TN 38401-2754
Phone
(931) 381-2663
Fax
(931) 840-0234
NPI assigned
May 8, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Randall L Davidson, M.D.NPI 1073566212
Title
President
Phone
(931) 381-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060829000465 TN Part B Supplier - Clinic/Group Practice 2961406210 Receives reassigned benefits from 10 practitioners
Practice locations: Columbia, TN
O20100825000602 TN Part B Supplier - Clinic/Group Practice 2961406210 Receives reassigned benefits from 12 practitioners
Practice locations: Columbia, TN

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

NPPES NPI Registry

Primary practice location

1050 N James Campbell Blvd
Suite 200
Columbia, TN 38401-2754

Mailing address

1050 N James Campbell Blvd
Suite 200
Columbia, TN 38401-2754
Phone (931) 381-2663

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2018.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1922057181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-381-2663",
            "fax_number": "931-840-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-381-2663",
            "fax_number": "931-840-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-TENNESSEE BONE & JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-381-2663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.